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Follow-Up Care After Leaving the Hospital, Moderate

Illinois rates for HCPCS 99495

This service covers coordinated follow-up care provided to a patient during the weeks after being discharged from a hospital or facility stay, including a check-in and a required follow-up office visit. It applies to cases involving a moderate level of medical decision-making during that transition period.

Rates data updated July 2026.

How much does Follow-Up Care After Leaving the Hospital, Moderate cost?

$170

Typical negotiated rate. In Illinois, July 2026.

Insurers have agreed to pay about $170 for this service. The price depends on where it is billed: about $170 from a physician practice, and about $182 from a hospital or other facility. The two figures are alternatives, not parts of one bill.

These are rates insurers have negotiated with providers, not the amount a patient is billed. What you owe depends on your plan's deductible and coinsurance. Based on rates published by 7 insurance carriers under federal price transparency rules.

Where it's billed changes the price

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$170$135 to $240
FacilityA hospital or hospital-owned outpatient department$182$132 to $251

How much rates vary

Facilitymedian $182 · 10th to 90th $117 to $372Professionalmedian $170 · 10th to 90th $112 to $309
$50$100$200$500$1Kfacility $182professional $170

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$117.49
Median
$173.78
Typical High
$371.54
Aetna
Setting
Professional
Modifier
Global
Typical Low
$109.65
Median
$169.82
Typical High
$316.23
Aetna
Setting
Professional
Modifier
25 · Same-day visit
Typical Low
$173.78
Median
$251.19
Typical High
$398.11
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$177.83
Median
$234.42
Typical High
$302.00
Ambetter
Setting
Professional
Modifier
25 · Same-day visit
Typical Low
$199.53
Median
$239.88
Typical High
$295.12
BCBS
Setting
Facility
Modifier
Global
Typical Low
$169.82
Median
$229.09
Typical High
$2,041.74
BCBS
Setting
Professional
Modifier
Global
Typical Low
$134.90
Median
$204.17
Typical High
$245.47
Cigna
Setting
Facility
Modifier
Global
Typical Low
$169.82
Median
$169.82
Typical High
$169.82
Cigna
Setting
Professional
Modifier
Global
Typical Low
$151.36
Median
$213.80
Typical High
$323.59
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$134.90
Median
$229.09
Typical High
$457.09
Hally Health
Setting
Facility
Modifier
Global
Typical Low
$100.00
Median
$100.00
Typical High
$100.00
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$165.96
Median
$173.78
Typical High
$275.42
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$33.11
Typical High
$33.11
United
Setting
Facility
Modifier
Global
Typical Low
$199.53
Median
$316.23
Typical High
$467.74
United
Setting
Professional
Modifier
Global
Typical Low
$117.49
Median
$194.98
Typical High
$309.03

Where Illinois sits

The same service costs 2.1 times more in Minnesota than in Delaware. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

Illinois· 19th of 51

$170

MN $288DE $138

Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.